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Health System

With a large network of care settings and providers, health system professionals have a lot to keep track of. Use these resources to help stay on top of it all.

  • Medicare and Medicaid could face dramatic change

    Medicare and Medicaid could face dramatic change

    Changes are around the corner now that a new administration is in place. Medicare and Medicaid will be under scrutiny as legislators consider their future.

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    Avoid Patient Coverage Surprises

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    Automate Your Eligibility and Claims Processes

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  • Value-based care: burden or benefit?

    Value-based care: burden or benefit?

    With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved.

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  • Looking into the unknown: a 2017 healthcare preview

    Looking into the unknown: a 2017 healthcare preview

    With a major change in political leadership, healthcare policy is up in the air. Congress will tackle its plans for reshaping the industry in January.

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  • President signs landmark mental health reform

    President signs landmark mental health reform

    As part of the 21st Century Cures Act, mental health reform has become law with the president’s signature in December 2016. It’s the most significant mental health reform in more than 50 years.

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  • What’s to become of the Affordable Care Act (ACA)?

    What’s to become of the Affordable Care Act (ACA)?

    With "repeal and replace" of the Affordable Care Act a campaign mantra, speculation abounds about whether and how this can be accomplished. Time will tell.

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  • President's mental health parity task force weighs in

    President's mental health parity task force weighs in

    Multiple government agencies weighed in at the end of October on the best way to achieve and enforce mental health parity in insurance coverage.

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  • Questions about ACA’s future don’t change current open enrollment needs

    Questions about ACA’s future don’t change current open enrollment needs

    The election has thrown the future of the ACA into question, but open enrollment for 2017 is underway now and providers must be ready.

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  • ABILITY | EASE® Medicare

    ABILITY | EASE® Medicare

    This powerful Medicare revenue cycle management tool automates time-consuming Medicare eligibility verification and Medicare claims processes, and provides operational insights through analytics.

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  • Industry relief and reactions to MACRA final rules

    Industry relief and reactions to MACRA final rules

    Physicians may be breathing a sigh of relief that CMS has issued final rules for MACRA. Reports and commentaries are flowing in from industry observers.

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  • New health insurance eligibility game plans needed for 2017

    New health insurance eligibility game plans needed for 2017

    Medical providers would be wise to start thinking about insurance eligibility as the start to 2017 promises to be especially challenging.

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  • Proposed CMS codes and fees align with realities for physicians

    Proposed CMS codes and fees align with realities for physicians

    CMS is proposing a Medicare 2017 Physician Fee Schedule that recognizes the added complexity and expanding role of the family physician.

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  • [Infographic] Eligibility Checks: The Hard Way or the Easy Way?

    [Infographic] Eligibility Checks: The Hard Way or the Easy Way?

    Do you verify patients’ insurance on payer websites? Check out this infographic to see the streamlined workflow of insurance checking software.

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  • Medicaid expansion could get new momentum in 2017

    Medicaid expansion could get new momentum in 2017

    Much of the presidential campaign healthcare conversation has been big-picture, but state-level changes are also in the works for 2017 in a handful of states. Since the Affordable Care Act was...

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  • Savings from Accountable Care Organizations continue adding up

    Savings from Accountable Care Organizations continue adding up

    Accountable care organizations saved $466 million in 2015, and smaller ACOs were actually more likely to hit their targets.

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  • How admissions staff are improving the patient experience

    How admissions staff are improving the patient experience

    Today, admissions reps often perform tasks that billers used to perform. The industry must adapt to ensure a strong patient experience.

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  • Catching Insurance Changes

    Catching Insurance Changes

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  • 5 ways to use analytics to improve the Medicare RCM workflow

    5 ways to use analytics to improve the Medicare RCM workflow

    See 5 ways your organization can apply Medicare analytics to maximize reimbursements. Revenue cycle management can be improved quickly.

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  • The Unwelcome Surprise: Patient Insurance Changes

    The Unwelcome Surprise: Patient Insurance Changes

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  • Webinar: Maximize your Medicare reimbursement with NEW, advanced tools22:38

    Webinar: Maximize your Medicare reimbursement with NEW, advanced tools

    Looking for a Medicare billing software that lets you automate the time-consuming steps of checking claims? This video will show you how it’s done.

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  • Medicare Advantage enrollees face challenges getting accurate network information

    Medicare Advantage enrollees face challenges getting accurate network information

    Data shows that Medicare Advantage provider directories are often inaccurate, leading to patient errors in determining Medicare Advantage eligibility.

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